Literature DB >> 23590405

Tooth loss and mortality in elderly Japanese adults: effect of oral care.

Kazuki Hayasaka1, Yasutake Tomata, Jun Aida, Takashi Watanabe, Masako Kakizaki, Ichiro Tsuji.   

Abstract

OBJECTIVES: To assess whether oral care (tooth brushing, regular dental visits, and use of dentures) affects mortality in elderly individuals with tooth loss.
DESIGN: A 4-year prospective cohort study.
SETTING: Ohsaki City, Japan. PARTICIPANTS: Twenty-one thousand seven hundred thirty community-dwelling individuals aged 65 and older. MEASUREMENTS: In a baseline survey in 2006, data were collected on number of remaining teeth and oral care status as measures of dental health. Data were also collected on age, sex, education level, smoking, alcohol drinking, time spent walking daily, medical history, psychological distress, and energy and protein intake as covariates. During the 4-year follow-up between 2006 and 2010, information on mortality was obtained from Ohsaki City government.
RESULTS: The multivariate-adjusted Cox proportional hazards model showed an inverse dose-response relationship between number of remaining teeth and mortality (P for trend <.001). In participants with 0 to 19 teeth, practicing oral care was inversely associated with mortality. The multivariate hazard ratio for mortality in participants who practiced all three types of oral care was 0.54 (95% confidence interval = 0.45-0.64), compared with participants who practiced none of the three.
CONCLUSION: Tooth brushing, regular dental visits, and use of dentures are inversely associated with mortality in elderly individuals with tooth loss.
© 2013, Copyright the Authors Journal compilation © 2013, The American Geriatrics Society.

Entities:  

Mesh:

Year:  2013        PMID: 23590405     DOI: 10.1111/jgs.12225

Source DB:  PubMed          Journal:  J Am Geriatr Soc        ISSN: 0002-8614            Impact factor:   5.562


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